NPI 1144644592

Visiting Physician at Home LLC

Organisation Health Maintenance Organization Northbrook, IL

Practice location

Address: 2970 Maria Ave Suite 102a, Northbrook, IL 60062-2017
Phone: (847) 917-3664
Fax: (224) 538-3038
Mailing address: 2119 Beaver Creek Dr, Vernon Hills, IL 60061-3812

Authorised official

Name: Sukhwinder K Singh
Title: Office Manager
Phone: (847) 917-3664

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1144644592
Entity type: Organization
NPI issued: 5 Feb 2014
Record last updated: 5 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.